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General NPI Number Information
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NPI Number | 1679235436
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Entity Type | Organization
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Legal Business Name | LEE & KIM ACUPUNCTURE MEDICAL GROUP INC
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Dates
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Enumeration Date | 10/08/2021
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Last Update Date | 10/08/2021
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Provider Practice Location Address
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Address Line | 9090 MOODY ST APT 111
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City | CYPRESS
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State | CA
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Zip | 90630-2940
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Country | US
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Telephone | 657-341-2125
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Fax |
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Provider Business Mailing Address
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Address Line | 9090 MOODY ST APT 111
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City | CYPRESS
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State | CA
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Zip | 90630-2940
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Country | US
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Telephone | 657-341-2125
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Fax |
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Authorized Official
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Title or Position | CFO, CO-FOUNDER
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Name | WOO JIN LEE
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Credential | L.AC., DIPL. O.M.
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Telephone | 213-219-2696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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